Contrast exam abdominl aorta 75625-26 at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$102.30 with Aetna vs $11,833.37 with BCBS — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Aetna QHPHIX $102.30
TEXAS HEALTH NETWORK MCD $124.74
Cook Childrens Health Plan CHIP $126.64
United STARPLUS $126.64
Parkland Community Health Plan MCD $126.64
Cook Childrens Health Plan STAR $126.64
Amerigroup MGMCD $126.64
United CHIP $126.64
Amerigroup CHIP $126.64
United STARPerinate $126.64
United STAR $126.64
United STARKids $126.64
Cigna Healthspring MGMCD $132.97
Aetna Better Health MCD $136.77
Aetna Better Health CHIP $136.77
Molina STARKIDS $139.30
Molina STAR+PLUS $139.30
Molina MCDSTAR $139.30
Molina CHIP $139.30
Aetna NewBusiness $140.26
Aetna COMM $150.25
Aetna Meritain $150.25
Humana MGMCD $158.30
Aetna OON $176.22
Cigna LocalPlus $232.16
Cigna NewBusiness $232.39
Cigna OpenAccessPlus $259.30
Cigna HMO $259.30
Cigna NetworkBenefit $259.30
Humana COMM $325.97
Cigna AllOther $328.18
Superior Health Plan STARPLUS $373.71
Superior Health Plan STARHealth $373.71
Superior Health Plan MCDSTAR $373.71
Superior Health Plan STARKids $373.71
Superior Health Plan CHIP $373.71
Cigna IFP $720.73
Cigna QHP $747.43
United OptionsPPO $1,062.41
Unicare CHIP $1,281.30
Healthcare Highways NarrowNetwork $1,308.00
Evry Health COMM $1,377.40
Healthcare Highways CityofPlano $1,804.50
Curative Administrators COMM $2,135.50
BCBS Traditional $2,370.41
Fidelis SecureCare MGMCR $2,402.44
City of McKinney COMM $2,402.44
National ChoiceCare WCOMP $2,669.38
Aetna ASA $2,813.53
Physicians Coop of TX MGMCR $2,936.32
PC Texas Partners WCOMP $2,936.32
Rockport Health Group WORKERSCOMP $2,936.32
Aetna WCOMP $2,936.32
Averde Health, Inc PPO $3,096.48
USC Health Services COMM $3,203.26
United SmallGroup $3,365.20
United NarrowNetworkIndivExchange $3,365.20
BCBS BlueAdvantageHMO $3,630.38
BCBS MyBlueHealth $3,630.38
Multiplan PHCS PrimaryNetwork $3,737.13
Coastal Comp Health Networks WCOMP $3,737.13
Jostens WCOMP $3,737.13
Mega Life MGMCRPPO $3,737.13
BCBS BluePremier $3,768.94
Aetna Coventry First Health COMM $3,881.28
LEWISVILLE ISD/DLS CONSULTING COMMPPO $4,004.07
HealthSmart Preferred Care PPO $4,004.07
USA Managed Care COMM $4,271.01
Galaxy Health Network PPO $4,537.95
National Healthcare Solutions COMM $5,338.76
Unicare MCD $5,338.76
Independent Medical Systems COMM $5,338.76
United AllPayerAppendix $6,438.74
BCBS BlueEssentialsAccess $10,780.28
BCBS BlueEssentials $10,780.28
BCBS EPOSOA $11,306.82
BCBS PPO $11,833.37

Visitor-reported prices

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Contrast exam abdominl aorta 75625-26 at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $3,389.09 $126.64 – $7,896.23
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $3,884.68 $799.60 – $7,896.23
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $5,479.80 $126.64 – $7,896.23
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $3,389.09 $126.64 – $7,896.23
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $3,884.68 $135.50 – $7,896.23
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $3,884.68 $126.64 – $7,896.23
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $5,479.80 $126.64 – $8,219.70
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $3,389.09 $126.64 – $7,896.23

All Texas hospitals for this procedure →